Skip to main content

Rural Gujarat's public healthcare services witness 7.9 per cent decline, one of the highest in India: Niti Aayog experts

By Rajiv Shah
In fresh evidence, Gujarat’s public healthcare has taken a beating over the last10 years, with rural areas witnessing one of the sharpest 7.9 per cent fall in the provision of government health services in India, Only two states witnessed a higher fall than Gujarat in rural public healthcare services -- Karnataka (13.2 per cent) and Maharashtra (9.5).
Based on an analysis of National Sample Survey (NSS) conducted in 2004 (60th round) and 2014 (71st round), a recent study, put on the Government of India’s (GoI's) Niti Aayog website, the data show that Bihar was No 1 state, where confidence in rural public healthcare delivery system rose by a whopping 28 per cent, followed by Assam (15 per cent), Haryana (12.7 per cent), Uttarakhand (7.7 per cent), and so on.
The study has been carried out four experts, three of whom are with the GoI – Nishant Jain, Deputy Program Director at German Development Cooperation, India; Alok Kumar is Adviser (Health) at NITI Aayog; Sunil Nandraj is Adviser (Clinical Establishments Act) to Ministry of Health and Family Welfare; and Kheya Melo Furtado works as Young Professional (Health) at NITI Aayog.
In the urban areas, too, Gujarat’s public health services have shown a fall, but at a lesser pace than the rural areas – by 2.8 per cent, as against the national average of fall of 6.2 per cent.
Giving an analysis of outpatient and inpatient facilities, the study, taking rural and urban areas together, says, “In nine out of the 21 states, the share of public sector facilities in outpatient care has decreased; in six states it has improved marginally while there have been impressive gains in six states.”
The study praises some of the poorer states, saying, “The best results are from Assam, Uttarakhand, Odisha, Chhattisgarh and Jharkhand which suggest that investments in public healthcare facilities are likely to yield far better results in those areas where there is a dearth of private healthcare facilities due to paying capacities, terrain or other factors.”
As for the inpatient facilities, the study states, “The picture is even more dismal for inpatient care, with 12 out of 20 states in rural areas and 17 out of 21 states in urban areas registering a decline in the share of the services provided by government-owned facilities.”
The study observes, “One way to interpret these results could be that in view of greater investments on public health facilities in rural areas, the declining trend of people availing public health-care facilities could be arrested, but this was not so in urban areas due to limited investments in government facilities.”
It adds, “But another equally compelling argument could be that there is a general preference among people for private providers; financial resources permitting and adequate choice of providers being available. The plausibility of the latter argument is buttressed by data showing a steady decline in the reliance upon public providers with a rise in urban monthly per capita expenditure (UMPCE).”
However, the study says, “The expenditure on healthcare by governments (union and states) has increased by more than four times in nominal terms, but the share of patient load for hospitalized care in government facilities has remained practically static in rural areas (41.7% to 41.9%) and steadily declining in the urban areas (38.2% to 32%).”

Comments

TRENDING

Mallika Sarabhai releases speech she was 'not allowed' to give at NID Convocation on Feb 7

Counterview Desk
The National Institute of Design (NID) in Ahmedabad, a Ministry of Commerce and Industry body, landed itself in controversy following its decision to put off its 40th convocation ceremony, where noted danseuse Mallika Sarabhai was invited as chief guest. The ceremony was scheduled to be held on February 7.

Modi, Shah 'forget': Gandhi’s first Satyagraha was against citizenship law of South Africa

By Nachiketa Desai*
Hindu fanatic Nathuram Godse assassinated Mahatma Gandhi once on January 30, 1948 but his followers raising the war cry of ‘Jai Sriram’ are killing the Mahatma every day. In his home state of Gujarat, Gandhiji was killed a thousand times in 2002 when over 2,000 Muslims were butchered, their women raped, homes and shops plundered and set on fire and even unborn babies ripped out of the wombs of their mothers.

As corona virus 'travels' to rural areas, NGO begins training tribals, marginalised women

By Souparno Chatterjee*
The World Health Organization (WHO) has declared corona virus a pandemic. Originating from Wuhan in China, it has traversed the entire globe, almost, and claimed more than 16,000 lives already. That’s largely the urban population. In India, despite all the preparedness and war-like promptness to safeguard against the pandemic, several lives have been lost , and hundreds of individuals have tested positive.

Rani Laxmi Bai, Tatya Tope 'martyred' by East India Company, Scindia's forefathers

By Our Representative
In an email alert to Counterview, well-known political scientist Shamsul Islam has said that was “shameful for any political party in democratic India to keep children of Sindhias in their flock” given their role during the First War of Indian Independence (1857). In a direct commentary on Madhya Pradesh Congress leader Jyotiraditya Scindia moving over to BJP, Prof Islam has quote from a British gazetteer to prove his point.

COVID-19: Dalit rights bodies regret, no relief plan yet for SCs, STs, marginalized

By Our Representative
In a letter to Prime Minister Narendra Modi, the National Dalit Watch-National Campaign on Dalit Human Rights, endorsed* by several other Dalit rights organizations, have insisted, the Government of India should particular care of the scheduled castes and tribes, trans folks, persons with disabilities and the women and children from these communities, while fighting against COVID-19 pandemic.

Big 'danger' of NPR: A babu can tag anyone as doubtful citizen, Jharkhand meet told

' By Our Representative
People in large numbers from across Jharkhand gathered at the Raj Bhawan in Ranchi to demand that the Hemant Soren government reject National Population Register (NPR) and stop all NPR-related activities. The people’s organisations which participated in the dharna under the banner of the Jharkhand Janadhikar Mahasabha (JMM) resolved to intensify their struggle, insisting, NPR is not a Hindu-Muslim issue but is essentially anti-poor.

Gujarat govt plan to 'banish' Gandhian activist anti-democratic, unconstitutional

By Rohit Prajapati*
The current Central and Gujarat governments, and their bureaucracy, have been and are still unable to answer and address the concerns raised, with facts, figures, and constitutional provisions, regarding the terror of tourism in the name of the Statue of Unity and tourism projects surrounding it.

Coronavirus scare ‘pushing’ people from Northeast India into more hardship

By Rishiraj Sinha, Biswanath Sinha*
“No one is born hating another person because of the colour of his skin, or his background or his religion. People learn to hate, and if they can learn to hate, they can be taught to love, for love comes more naturally to the human heart than its opposite.” – Nelson Mandela
***

Haridwar Swamis lead Khudai Khidmatgar peace march in Delhi 'riot affected' areas

By Our Representative
A Khudai Kidmatgar team, which visited the riot-affected regions along with Swami Shivanand Saraswati and Swami Punyanand, has insisted that India's true heritage is the lesson of ‘vasudhaiv kutumbakam', and it is the responsibility of all to carry froward this legacy. Originally founded by Khan Abdul Ghaffar Khan in 1930, also known as Frontier Gandhi, Khudai Khidmatgar is claimed to have been revived by young Gandhian activist Faisal Khan in 2011.